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1407200694
TINA KEUN NAN PARK
GLENDALE, CA
NPI
1407200694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 63253)
Enumeration Date
2016-04-14
Last Update Date
2016-04-14
Business Address
-- TINA KEUN NAN PARK D.D.S., M.S.
962 CALLE AMABLE
GLENDALE, CA 91208-3062
Phone number: 323-369-4054
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Mailing Address
-- TINA KEUN NAN PARK D.D.S., M.S.
962 CALLE AMABLE
GLENDALE, CA 91208-3062
Phone number: 323-369-4054
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